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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANNUM KHAN PA-C
NPI 1871045773
Physician Assistant in Mc Lean, VA

Active since October 27, 2016PECOS Enrolled
1750 TYSONS BLVD STE 120, MC LEAN, VA 22102(703) 914-8000(703) 642-1876 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Jul 24, 2019, Mar 17, 2018 and 3 more (6 updates tracked since 2016).

About Annum Khan Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNUM KHAN PA-C (NPI 1871045773) is an individual physician assistant in Mc Lean, Virginia, licensed in Virginia (0110005341) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1871045773
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNUM KHANCredential: PA-C
Location Address1750 TYSONS BLVD STE 120Mc Lean, VA 22102-4227
Mailing Address11350 Mccormick Rd Executive Plaza 1, Ste 501Hunt Valley, MD 21031 · (703) 738-4331 · Fax (703) 642-1876
Phone(703) 914-8000
Fax(703) 642-1876
Sole ProprietorNo
Enumeration DateOctober 27, 2016
Last NPPES UpdateJuly 29, 20266 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1871045773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110005341
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1750 TYSONS BLVD STE 120, Mc Lean, VA 22102
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Secondary Practice Locations 3

Location 15500 Friendship Blvd Ste 450Chevy Chase, MD 20815-7219 · Phone (703) 914-8000 · Fax (703) 642-1876
Location 28901 Rockville PikeBethesda, MD 20889-0001 · Phone (301) 295-4421
Location 310340 Spotsylvania Ave, Suite 101Fredericksburg, VA 22408-8608 · Phone (540) 374-3164 · Fax (540) 899-1342

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annum Khan Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
94%502 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%87 patients2/55-star benchmark: 97%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 23 patients
13%23 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW E. HOLZMAN M.D.
Ophthalmology
1750 TYSONS BLVD STE 120
MC LEAN, VA 22102
Fairfax County (703) 556-9155
PHYSICAL MEDICINE ASSOCIATES, LTD
Pain Medicine (Interventional Pain Medicine)
1750 TYSONS BLVD STE 120
MC LEAN, VA 22102
Fairfax County (703) 560-8280
MAYO F FRIEDLIS MD
Pain Medicine (Interventional Pain Medicine)
1750 TYSONS BLVD STE 120
MC LEAN, VA 22102
Fairfax County (703) 914-8000
PHYSICAL MEDICINE ASSOCIATES, LTD
Physical Medicine & Rehabilitation (Pain Medicine)
1750 TYSONS BLVD STE 120
MC LEAN, VA 22102
Fairfax County (703) 714-7178

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annum Khan's NPI number?

The NPI number for Annum Khan is 1871045773. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Annum Khan located?

Annum Khan practices at 1750 Tysons Blvd Ste 120, Mc Lean, VA 22102. The listed phone number is (703) 914-8000.

What is Annum Khan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Annum Khan enrolled in Medicare?

Yes. Annum Khan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Annum Khan was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.